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关于高危妊娠中女性情绪和心理体验的系统评价。

A systematic review regarding women's emotional and psychological experiences of high-risk pregnancies.

机构信息

Department of Psychology, University of the Western Cape, Cape Town, South Africa.

出版信息

BMC Psychol. 2020 May 3;8(1):45. doi: 10.1186/s40359-020-00410-8.

Abstract

BACKGROUND

High-risk pregnancy refers to a pregnancy that negatively affects the health of the mother, the baby, or both. High-risk pregnancy evokes a range of emotional and psychological experiences for the expectant mother, and can adversely affect both the mother and the baby's health. Medical research on high-risk pregnancy abounds, while women's emotional/psychological experiences are not sufficiently documented, and hence much less attention and/or programming is directed to support women with high risk pregnancies.

METHODS

The aim of this review is to present published evidence of how studies reported on the emotional and psychological experiences of a woman's high-risk pregnancy journey. The systematic review examined qualitative studies over a 10 year period that were published between January 2006 and June 2017. These studies were identified on 10 databases. The study utilised three stages of review (i.e. abstract reading, title reading, and full-text reading) and for a successful conduction of the meta-synthesis, this study applied one of the phases provided by Noblit and Hare.

RESULTS

The findings provide empirical evidence that women's emotional and psychological experiences (i.e. shock, fear, frustration, grief, isolation and loneliness, anger, sadness, guilt, and mental health disorder) are evident throughout their high-risk pregnancies experience.

摘要

背景

高危妊娠是指对母亲、婴儿或两者健康产生负面影响的妊娠。高危妊娠会引起孕妇一系列的情绪和心理体验,可能会对母婴健康造成不良影响。医学上对高危妊娠的研究很多,但女性的情绪/心理体验并没有得到充分的记录,因此对高危妊娠妇女的关注和/或支持计划相对较少。

方法

本综述旨在展示已发表的证据,说明研究报告了女性高危妊娠经历的情绪和心理体验。系统综述检查了过去 10 年(2006 年 1 月至 2017 年 6 月)发表的定性研究。这些研究在 10 个数据库中确定。该研究采用了三个审查阶段(即摘要阅读、标题阅读和全文阅读),为了成功进行元综合,本研究应用了 Noblit 和 Hare 提供的一个阶段。

结果

研究结果提供了经验证据,表明女性的情绪和心理体验(即震惊、恐惧、沮丧、悲伤、孤独和寂寞、愤怒、悲伤、内疚和心理健康障碍)在整个高危妊娠经历中都很明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46a0/7197168/54ccf27b307e/40359_2020_410_Fig1_HTML.jpg

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